Nursing 110 Clinical Evaluation Tool

Student Name:

Clinical Week

P
BCV

6
11/1
3
P
BCV

7
11/2
0
P
BCV

S
N/A

S
S

S
S

S
S

S
S

S
S

N/A

N/A

N/A

N/A

N/A

Uses therapeutic communication with patients and

agency staf

Recognizes cultural issues and interact with clients in

culturally sensitive ways

Uses research and evidence to support clinical decision

making

Utilizes resources as needed

Compete
ncy (C)
Course
Outcome
s
(CO)

C9
CO 1, 2

5.

C3
C4
C3
C4
C1,2
C1,
CO3

Dates

10/09

10/16

10/23

Attendance: P=Present, A=Absent, T=Tardy

Facility/Unit

P
BCV

P
BCV

P
BCV

4
10/3
0
p
BCV

S
N/A

S
N/A

N/A

Applies concepts and theory to clinical practice in client

care and written assignments:
1. Collects data and conducts a health assessment on a
client.
2. Analyzes and interprets the data/assessment findings.
3.
4.

C 8, CO
5
C 6,7,8
CO 1,4
C10,
CO2
C6,
CO2
C9,
CO2

Jai Lee Saldivar

Prioritizes health problems.

Develops a plan of care that considers the individual,
family, age of client, developmental stage, psychosocio-cultural issues, and/or learning needs.
Evaluates and reflects on plan of care.

Demonstrate responsibility and accountability for

professional behavior:
1. Performs safely in clinical.
2. Prepared for clinical (Appropriate attire, appropriate
tools such as stethoscope, skills list, evaluation tool,
assessment tools).
3. Takes initiative in making decisions and assuming
responsibility for decisions.
4. Looks for opportunities for continued learning and
self-development.
5. Identifies behaviors and attitudes influencing
professional behavior.
6. Demonstrates growth in coping with stressful
situations in a calm and dependable manner.
7.

Maintains patient confidentiality.

5
11/6

8
Holid
ay

9
12/4
P
BCV

Makeup

C3,
CO8
C2
C4,
CO8

8.

Completes and submits assignments on time.

9.

Organizes and manages time efectively.

10. Attends and participates at post-conference.

KLC
JLCS

KLC
JLCS

KLC
JLCS

PW
JLCS

PW
JLCS

PW
JLCS

PW
JLCS

PW
JLCS

Instructor Initials
Student Initials

Week

Instructor include comments that are positive, areas that need improvement or are
unsatisfactory. Reference the course outcomes listed in the syllabus and/or the OCNE
Competencies from the Nursing Student Handbook (Date/Sign all entries)

10/09/14- PASS- Great Job in Clinicals this week. You were able to work on your goals for the day
and communicated well with the staf. As you stated you were able to learn some new tricks.
Continue to work on your confidence with patients.

Student
Initials

JLCS

Krista Lou Cook RN, BSN

2

10/16/14 PASS- this week you had the opportunity to work as a CNA on the floor. You passed
of your vital signs as well as completed oral, cardiovascular, and skin assessments. You also
helped with ADLs successfully. You worked well the fellow students, staf, and had a patient go
out of her way to express her gratitude for your care. Great job! C9 CO 1-2, C8 CO 5, C6 CO 2

JLCS

Krista Lou Cook RN, BSN

3

10/23/14- PASS- Great job this week in clinicals. You were able to complete a thorough head to
toe assessment and continue to work. Well with fellow students and staf at BCV. It has been
great meeting you and I wish you the best of success in your nursing career.

JLCS

Krista Lou Cook RN, BSN

4

JLCS
10-30-14 Good day, did not get to see your head to toe assessment but you did well with
keeping me informed as to the progress of your patient. Be careful when using abbreviations, if
they are not accepted universally they cannot be used (see care plan page 1). Great job on
collecting your assessment data. Under medication in the last column you want to put the most
important thing a nurse should assess before giving that medication.. Your care plan was not
to bad, be specific in your interventional teaching and see comments for further clarification.
Under the evaluation of your interventions you want to assess if your interventions worked, if they
did we continue with those, if not then we change the intervention to get the measurable outcome we
want

Thanks
Pam!

Pamela Wick RN MSN

JLCS

11/6/14
You have a great bedside manner and you are always very respectful to the staf and clients. I
can see that you are getting a better grasp of the care plan with diagnosis, and interventions.
We still need to work on the medications efects and assessment. You will progress to 3 nrsg dx
over the next couple of weeks. With a UTI dx I usually think first of things like skin integrity,
because someone who is older may become incontinent due to the UTI, fluid balance, the
patient may be dehydrated d/t decreased fluid intake d/t pain. So just to give you some ideas as
you look at your diagnosis without information from the patient you can draw some conclusions.
Good job today

Pamela Wick RN MSN

JLCS

11/13/14
This is the care plan that we went over in depth at the shot clinic, be sure to go over those
things we talked about and ask questions as needed to deepen that understanding. You are
doing a great job, in just 6 weeks time you are able to make some conclusions about your
patient and make some decisions regarding care. Good job. Medication administration is a
challenge in this setting, but with careful review and attention to triple checking, you can
accomplish safe administration and patient teaching, so remember adaptation is everything.

Pamela Wick RN MSN

11/20/14
7

Catholic Church shot clinic. Slow but still full of time to absorb the clients we saw, the info that
needs to be given before and after the shot. Education surrounding blood pressures and general
health questions. We also had time to look at your care plan in depth. Thank you for you
reflection. Good job..

8
Holiday

JLCS

12/4/14
Very slow today at the nursing home with few admits. Good job on your care plan. You always
bring joy to your patients, and a smile to their face, good job!!!

Pamela Wick RN MSN

Clinic
al
Makeup
9/1/09: rev 05062011: reviewed 9/2014 sw

JLCS